Hershberger, Kent A

Hershberger, Kent A is an sole proprietor health care provider with primary practice located at 150 W Angela Blvd , South Bend IN 46617-1101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hershberger, Kent A can be contacted via phone (574) 220-4968.

Contact Information

Primary practice address
150 W Angela Blvd South Bend IN 46617-1101
Phone: (574) 220-4968
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041322A Indiana

Profile Details

NPI number 1992749709
LBN Legal business name Hershberger, Kent A
Credentials HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Jun 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992749709 NPPES
Indiana MEDICAID 200264420
Indiana Other 000000202186
Indiana MEDICAID 200288970

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